Individual
DR. BRUCE R HODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
100 W 7TH ST STE 102, OKMULGEE, OK 74447-5007
(918) 758-1910
(918) 756-1270
Mailing address
PO BOX 471556, TULSA, OK 74147-1556
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
460
OK
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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